Independent practices are increasingly merging or selling to larger health systems to negotiate better payment rates and manage regulatory burdens, with a 46% rise in hospital-owned physician practices since 2012. However, this consolidation trend raises concerns about reduced competition, higher costs, and diminished physician autonomy, as many smaller facilities may close due to market overlap. The Federal Trade Commission has intensified scrutiny of these mergers, blocking several high-profile deals since 2020.
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